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Organization
PENA OPTICAL SOLUTIONS LLC
Active
Organization
PENA OPTICAL SOLUTIONS LLC
Active
Other names
TEXAS STATE OPTICAL KERRVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
BENITO PENA O.D. (DOCTOR OF OPTOMETRY)
(830) 257-6336
Entity
Organization
Contact information
Practice address
500 JUNCTION HWY, KERRVILLE, TX 78028-5065
(830) 257-6336
(830) 792-4808
Mailing address
500 JUNCTION HWY, KERRVILLE, TX 78028-5065
(830) 257-6336
(830) 792-4808
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7139TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7139TG
OPTOMETRY LICENSE
TX
Enumeration date
05/20/2008
Last updated
06/21/2018
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